Urinary incontinence is the accidental leakage of urine. At different ages, males and females have different risks for developing UI. In childhood, girls usually develop bladder control at an earlier age than boys, and bedwetting—or nocturnal enuresis—is less common in girls than in boys. However, adult women are far more likely than adult men to experience UI because of anatomical differences in the pelvic region and the changes induced by
pregnancy and childbirth. Nevertheless, many men do suffer from incontinence. Its prevalence increases with age, but UI is not an inevitable part of aging.
UI is a treatable problem. To find a treatment that addresses the root of the problem, you need to talk with your health care provider.
Men who have had
diabetes for many years may develop
nerve damage that affects their bladder control.
Overactive bladder is a condition in which the bladder squeezes at the wrong time. The condition may be caused by nerve problems, or it may occur without any clear cause. A person with overactive bladder may have any two or all three of the following symptom:
urinary frequency—urination eight or more times a day or two or more times at night
urinary urgency—the sudden, strong need to urinate immediately
urge incontinence—urine leakage that follows a sudden, strong urge to urinate.
No single treatment works for everyone. Your treatment will depend on the type and severity of your problem, your lifestyle, and your preferences, starting with the simpler treatment options. Many men regain urinary control by changing a few habits and doing exercises to strengthen the muscles that hold urine in the bladder. If these behavioral treatments do not work, you may choose to try medicines or a continence device—either an artificial sphincter or a catheter. For some men, surgery is the best choice.